Reimbursement

Centers for Medicaid and Medicare Services website: http://www.cms.hhs.gov/states/telemed.asp

Nebraska

The Medicaid agency recognizes most State plan services when furnished using interactive video teleconferencing. In general, services are covered so long as a comparable service is not available to a client within a 30-mile radius of his or her home. Services specifically excluded include medical equipment and supplies; orthotics and prosthetics; personal care aide services; pharmacy services; medical transportation services; and mental health and substance abuse services and home and community-based waiver services provided by persons who do not meet practitioner standards for coverage.

Payment is on a fee-for-service basis, which is the same as reimbursement for covered services furnished in the conventional, face-to-face manner. Reimbursement is made at both the hub and spoke sites. Payment for transmission costs are set at the lower of the billed charge or the state's maximum allowable amount.

Billing and coding requirements will vary depending on who bills for the service and which claim form is used. The state contact is Dr. Chris Wright (402) 471-9136.




 
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